Turkish Neurosurgery 2015 , Vol 25 , Num 6
Retrospective Analysis of Prognostic Factors of Severe Traumatic Brain Injury in a University Hospital in Turkey
Erhan OZYURT1, Ethem GOKSU2, Melike CENGIZ1, Murat YILMAZ1, Atilla RAMAZANOGLU1
1Akdeniz University, School of Medicine, Department of Anaesthesiology and Reanimation, Antalya, Turkey
2Akdeniz University, School of Medicine, Department of Neurosurgery, Antalya, Turkey
DOI : 10.5137/1019-5149.JTN.9181-13.0 AIM: To examine the use of prognostic factors such as age, Glasgow Coma Scale (GCS) score, pupil reactivity and computerized tomography (CT) findings for predicting the prognosis of severe traumatic brain injury (TBI) patients in Turkey.

MATERIAL and METHODS: We retrospectively evaluated TBI patients who were accepted to Akdeniz University Intensive Care Unit between 1 January 2007 and 31 December 2009. Patient data were collected from the hospital information system. Marshall CT classification was performed and CT findings were noted. The Glasgow outcome scale (GOS) score of patients was calculated according to their 6-months follow up.

RESULTS: A total of 101 patients with severe TBI were studied. The mean age of the patients was 34.7 ± 14.1 years. Of these, male patients (81.2%) were dominant and road accidents (83.2%) were the most common mechanism of TBI development. In addition, poor neurological outcome was detected in 58.4% of the patients and 29 patients (28.7%) died. The mechanism of injury (p = 0.34), gender (p = 0.64) or age (p = 0.34) did not lead to a difference in neurologic outcomes while the GCS score (p = 0.01), pupillary reactivity (p = 0.000), Marshall CT classification (p = 0.01) and the presence of traumatic subarachnoid haemorrhage (p = 0.04) affected the GOS scores.

CONCLUSION: In our study, GCS score, CT findings and pupil reactivity were prominent as prognostic factors, but a relationship between age and prognosis was not observed. Keywords : Traumatic brain injury, Prognostic factors, Outcome

Corresponding author : Erhan Ozyurt, eozyurt@hotmail.com